MyMedi-AI

A4636 — Replacement, handgrip, cane, crutch, or walker, each

HCPCS Level II A-code · short descriptor: “Handgrip for cane etc”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

A4636 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $2.90 to $5.03 depending on state and rural status.

StateNon-ruralRural
AK$4.83—
AL$3.97$4.29
AR$3.97$4.19
AZ$3.97$4.19
CA$3.97$4.57
CO$3.97$4.57
CT$3.97$4.57
DC$3.97$4.19
DE$3.97$4.19
FL$3.97$4.19
GA$3.97$4.19
HI$5.03—
IA$3.97$4.57
ID$3.97$4.57
IL$3.97$4.57
IN$3.97$4.57
KS$3.97$4.19
KY$3.97$4.57
LA$3.97$4.57
MA$3.97$4.57
MD$3.97$4.28
ME$3.97$4.57
MI$3.97$4.19
MN$3.97$4.31
MO$3.97$4.57
MS$3.97$4.57
MT$3.97$4.57
NC$3.97$4.22
ND$3.97$4.19
NE$3.97$4.19
NH$3.97$4.57
NJ$3.97$4.19
NM$3.97$4.19
NV$3.97$4.19
NY$3.97$4.57
OH$3.97$4.19
OK$3.97$4.57
OR$3.97$4.57
PA$3.97$4.19
PR$2.90—
RI$3.97$4.57
SC$3.97$4.19
SD$3.97$4.19
TN$3.97$4.19
TX$3.97$4.19
UT$3.97$4.57
VA$3.97$4.57
VI$4.57—
VT$3.97$4.57
WA$3.97$4.57
WI$3.97$4.57
WV$3.97$4.19
WY$3.97$4.57

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $3.32 to $5.47 depending on state and rural status.

StateNon-ruralRural
AK$5.24—
AL—$4.62
AR—$4.51
AZ—$4.51
CA—$4.95
CO—$4.95
CT—$4.95
DC—$4.51
DE—$4.51
FL—$4.51
GA—$4.51
HI$5.47—
IA—$4.95
ID—$4.95
IL—$4.95
IN—$4.95
KS—$4.51
KY—$4.95
LA—$4.95
MA—$4.95
MD—$4.61
ME—$4.95
MI—$4.51
MN—$4.64
MO—$4.95
MS—$4.95
MT—$4.95
NC—$4.54
ND—$4.51
NE—$4.51
NH—$4.95
NJ—$4.51
NM—$4.51
NV—$4.51
NY—$4.95
OH—$4.51
OK—$4.95
OR—$4.95
PA—$4.51
PR$3.32—
RI—$4.95
SC—$4.51
SD—$4.51
TN—$4.51
TX—$4.51
UT—$4.95
VA—$4.95
VI$4.95—
VT—$4.95
WA—$4.95
WI—$4.95
WV—$4.51
WY—$4.95

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $0.36 to $0.47 depending on state and rural status.

StateNon-ruralRural
AK$0.44—
AL$0.40$0.42
AR$0.40$0.42
AZ$0.40$0.46
CA$0.40$0.44
CO$0.40$0.46
CT$0.40$0.46
DC$0.40$0.42
DE$0.40$0.42
FL$0.40$0.42
GA$0.40$0.42
HI$0.47—
IA$0.40$0.46
ID$0.40$0.46
IL$0.40$0.45
IN$0.40$0.46
KS$0.40$0.42
KY$0.40$0.46
LA$0.40$0.46
MA$0.40$0.46
MD$0.40$0.42
ME$0.40$0.46
MI$0.40$0.42
MN$0.40$0.42
MO$0.40$0.46
MS$0.40$0.46
MT$0.40$0.46
NC$0.40$0.42
ND$0.40$0.42
NE$0.40$0.42
NH$0.40$0.46
NJ$0.40$0.46
NM$0.40$0.42
NV$0.40$0.46
NY$0.40$0.45
OH$0.40$0.42
OK$0.40$0.46
OR$0.40$0.46
PA$0.40$0.42
PR$0.36—
RI$0.40$0.46
SC$0.40$0.42
SD$0.40$0.42
TN$0.40$0.42
TX$0.40$0.42
UT$0.40$0.46
VA$0.40$0.46
VI$0.45—
VT$0.40$0.46
WA$0.40$0.46
WI$0.40$0.46
WV$0.40$0.42
WY$0.40$0.46

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $0.41 to $0.51 depending on state and rural status.

StateNon-ruralRural
AK$0.48—
AL—$0.46
AR—$0.46
AZ—$0.50
CA—$0.48
CO—$0.50
CT—$0.50
DC—$0.46
DE—$0.46
FL—$0.46
GA—$0.46
HI$0.51—
IA—$0.50
ID—$0.50
IL—$0.49
IN—$0.50
KS—$0.46
KY—$0.50
LA—$0.50
MA—$0.50
MD—$0.46
ME—$0.50
MI—$0.46
MN—$0.46
MO—$0.50
MS—$0.50
MT—$0.50
NC—$0.46
ND—$0.46
NE—$0.46
NH—$0.50
NJ—$0.50
NM—$0.46
NV—$0.50
NY—$0.49
OH—$0.46
OK—$0.50
OR—$0.50
PA—$0.46
PR$0.41—
RI—$0.50
SC—$0.46
SD—$0.46
TN—$0.46
TX—$0.46
UT—$0.50
VA—$0.50
VI$0.49—
VT—$0.50
WA—$0.50
WI—$0.50
WV—$0.46
WY—$0.50

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $2.21 to $3.75 depending on state and rural status.

StateNon-ruralRural
AK$3.62—
AL$2.98$3.33
AR$2.98$3.09
AZ$2.98$3.09
CA$2.98$3.38
CO$2.98$3.38
CT$2.98$3.38
DC$2.98$3.09
DE$2.98$3.09
FL$2.98$3.09
GA$2.98$3.09
HI$3.75—
IA$2.98$3.38
ID$2.98$3.38
IL$2.98$3.38
IN$2.98$3.38
KS$2.98$3.09
KY$2.98$3.38
LA$2.98$3.38
MA$2.98$3.38
MD$2.98$3.21
ME$2.98$3.38
MI$2.98$3.09
MN$2.98$3.23
MO$2.98$3.38
MS$2.98$3.38
MT$2.98$3.38
NC$2.98$3.17
ND$2.98$3.09
NE$2.98$3.09
NH$2.98$3.38
NJ$2.98$3.09
NM$2.98$3.09
NV$2.98$3.09
NY$2.98$3.38
OH$2.98$3.09
OK$2.98$3.38
OR$2.98$3.38
PA$2.98$3.09
PR$2.21—
RI$2.98$3.38
SC$2.98$3.09
SD$2.98$3.09
TN$2.98$3.09
TX$2.98$3.09
UT$2.98$3.38
VA$2.98$3.38
VI$3.38—
VT$2.98$3.38
WA$2.98$3.38
WI$2.98$3.38
WV$2.98$3.09
WY$2.98$3.38

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $2.53 to $4.08 depending on state and rural status.

StateNon-ruralRural
AK$3.93—
AL—$3.60
AR—$3.33
AZ—$3.33
CA—$3.65
CO—$3.65
CT—$3.65
DC—$3.33
DE—$3.33
FL—$3.33
GA—$3.33
HI$4.08—
IA—$3.65
ID—$3.65
IL—$3.65
IN—$3.65
KS—$3.33
KY—$3.65
LA—$3.65
MA—$3.65
MD—$3.46
ME—$3.65
MI—$3.33
MN—$3.48
MO—$3.65
MS—$3.65
MT—$3.65
NC—$3.41
ND—$3.33
NE—$3.33
NH—$3.65
NJ—$3.33
NM—$3.33
NV—$3.33
NY—$3.65
OH—$3.33
OK—$3.65
OR—$3.65
PA—$3.33
PR$2.53—
RI—$3.65
SC—$3.33
SD—$3.33
TN—$3.33
TX—$3.33
UT—$3.65
VA—$3.65
VI$3.65—
VT—$3.65
WA—$3.65
WI—$3.65
WV—$3.33
WY—$3.65
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps A4636 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related A-codes

A4600A4601A4602A4604A4605A4606A4608A4611A4612A4613A4614A4615

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